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1.1.1: Obtain, interpret, assess, and/or evaluate information from patient interviews

HF is a 29-year-old woman who was diagnosed with genital herpes 6 years ago. She reports approximately one to two recurrences each year since diagnosis. Recently she has experienced an increase in outbreaks, having three in a 6-month period. The decision is made to start HF on daily suppressive therapy. Select the most appropriate therapy for HF.

(A) Valacyclovir po

(B) Erythromycin ointment

(C) Doxycycline po

(D) Acyclovir ointment

The correct answer is (A).

Valacyclovir is a prodrug of acyclovir that has increased oral bioavailability. It is a recommended agent for daily suppressive therapy.

DA has been diagnosed with chronic HCV genotype 1. His past medical and social histories include a history of IV drug abuse, alcoholism, a wife (married 30 years) with chronic HCV, and a blood transfusion in 2002. During your patient counseling session, DA asks you how he most likely acquired HCV. You correctly tell him

(A) Blood transfusion in 2002

(B) Sexually transmitted from his wife

(C) Intravenous drug abuse

(D) Alcoholism

The correct answer is (C).

Contact with blood contaminated with the HCV virus is the most common route of transmission with intravenous drug use being the number one method of transmission.

LK is a 37-year-old HIV-negative new patient at the clinic you work at. He receives a Mantoux skin test that returns positive 2 days later. He was born in the United States and works as a prison guard. He injects heroin on a regular basis. His chest x-ray comes back normal, he has no symptoms of tuberculosis, and his smear culture is negative. What type of drug therapy would be appropriate for this patient?

(A) Isoniazid 300 mg daily × 9 months

(B) Rifampin 100 mg daily × 4 months

(C) Isoniazid 300 mg and rifampin 600 mg × 6 months

(D) Isoniazid, rifampin, ethambutol, and pyrazinamide

The correct answer is (A).

The patient does not have any symptoms or indications of active TB disease; so he needs treatment for latent TB infection. This is the correct first-line regimen for treatment of latent TB infection.

LO is a 28-year-old woman who found out her boyfriend has chronic hepatitis B (HBV). They are sexually active and plan to ...

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